Hind limb swelling - has anybody got any ideas?

SuperCat007

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I will try to keep this brief. But it is a bit of a long one! For clarity he’s seen a vet at least twice each month since the end of May. Also physio and a massage therapist regularly, and saddle fitter! (Also had farrier 3 times).

I have a 26 who who in April was eventing. Then developed a sore back & not wanting to move forwards and the odd buck. I gave him 2 weeks off and it seemed to resolve with physio and massage.

At the end of his 2 week break his hind fetlocks started filling. Saw vet and physio. Vet wanted to nerve block and medicate, but I wasn’t keen.

He’s been ridden 3 times since the end of May - gentle walk hacks but I haven’t ridden him since he came in from the field lame in walk in early June. Bute resolved and he happily trotted sound the next day.

Since then the fetlock swelling has gone up and down but never really gone. Sometimes it’s also in his hocks and recently he’s developed a thickening above his hocks. Worst on the left (which ironically is the fetlock which swells less).

He’s on and off lame, sometimes completely sound in a straight line and in a circle.

He’s see three local vets who are all stumped or who have suggested a combination of nerve blocks, medicating, cartrophen (which he has had), can’t nerve block because he’s not lame etc. all have recommended in hand walks, but they’re definitely causing the swelling to get worse. He has ice packs and legs cold hosed to try to clear it and again it goes down but never goes away.

He’s not painful to touch and is picking his feet up as well as before this started.

He’s got an appointment at an equine hospital early next month. I have spoken with them about it and on the phone they agree the combination of his meds and gentle exercise is appropriate.

But has anybody ever experienced this set of symptoms before? Or have any thoughts?
 
Has your vet done any blood tests? Swelling can sometimes come off the back of kidney &/or liver issues

Did this coincide with the weather getting humid? Arthritic joints swelling can be a result of hot and humid - speaking from experience with that!
 
Could just be old age lack of circulation, arthritis could be anything his 26 they can't go on forever I think I would just ask for some bute and just keep an eye on it.
Thank you. Could be, but I’m keen to investigate as it’s a new symptom. He’s on bute already and I’m tracking symptoms as well.
 
Has your vet done any blood tests? Swelling can sometimes come off the back of kidney &/or liver issues

Did this coincide with the weather getting humid? Arthritic joints swelling can be a result of hot and humid - speaking from experience with that!

Interesting. Only ACTH this year. But he isn’t showing any other signs of liver/kidney. But something nobody has mentioned so I will ask the question.

Hot weather definitely seems to increase swelling and yes that was my thought as my joints swell with different weathers!
Thank you!
 
I know a horse who started with this, then progressed to a swollen sheath then a puffy stomach. he was older and died of a heart attack not that long after. Sadly, he was being ridden at the time because riding would help with the swelling. The vet was involved but didn't seem concerned, he was sound and advice was to keep him gently moving.

Fortunately he was only walking and the rider was shaken but OK. It was a quick end.
 
I would not ride him until you have had his heart sounded by a vet .
Thank you. Vet has checked heart relatively recently and said was fine. But another interesting suggestion Google hadn’t brought up. I will ask the hospital to check too when he goes.

He won’t be ridden until we’ve got to the bottom of the swelling so no worries on that front.
 
this, I was just about to suggest that heart failure can cause this because the back legs are so much further from the heart than the front ones. The swelling above the hocks is a particular red light.
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Interesting - even if it’s going up and down and not consistent?
I’ll do some googling but any other potential signs I should be looking out for?
 
I know a horse who started with this, then progressed to a swollen sheath then a puffy stomach. he was older and died of a heart attack not that long after. Sadly, he was being ridden at the time because riding would help with the swelling. The vet was involved but didn't seem concerned, he was sound and advice was to keep him gently moving.

Fortunately he was only walking and the rider was shaken but OK. It was a quick end.
Thank you. How sad for that horse and rider.

Fortunately (for now) sheath doesn’t swell - unless fly bites - but I will keep an eye.

Have had similar advice, but am not because the leg swelling is worse when doing more.
 
Thank you. Vet has checked heart relatively recently and said was fine. But another interesting suggestion Google hadn’t brought up. I will ask the hospital to check too when he goes.

He won’t be ridden until we’ve got to the bottom of the swelling so no worries on that front.
Did the vet check the heart when the horse was working if not you must get this done sooner rather than later .
 
Interesting - even if it’s going up and down and not consistent?
I’ll do some googling but any other potential signs I should be looking out for?

Breathing difficulties, as the other place fluid tends to gather is in the bottom of the lungs. My cat and my husband had trouble breathing when their hearts were failing. I assume it will be the same for horses.
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